Pneumococcal Infections
Conditions
Brief summary
The purpose of this study is to evaluate the immunogenicity and safety of an investigational 23-valent pneumococcal polysaccharide vaccine (PPV) in healthy children, adults and elderly. The control vaccine is a commercialized 23-valent PPV.
Detailed description
This study is a randomized, double-blind, single-center, controlled phase III clinical trial. The purpose of this study is to evaluate the immunogenicity and safety of an investigational 23-valent pneumococcal polysaccharide vaccine (PPV) manufactured by Sinovac Biotech Co., Ltd. The primary objective of this study is to demonstrate that the immunogenicity of the investigational vaccine is non-inferior to that of a commercialized 23-valent PPV manufactured by Chengdu Institute of Biological products Co., Ltd.; the secondary objective is to assess the safety of the investigational and control vaccines. Participants will be grouped into three cohorts by age: child cohort (2 - 17 years old), adult cohort (18 - 60 years old) and elderly cohort (≥ 61 years old). In each cohort, the participants will be randomly assigned into experimental group or control group in the ratio 1:1.
Interventions
The investigational vaccine was manufactured by Sinovac Biotech Co., Ltd.
The control vaccine was manufactured by Chengdu Institute of Biological products Co., Ltd.
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy volunteer ≥ 2 years old; * Proven legal identity; * Written consent of the guardian of participants \< 18 years old, and written consent of the participant ≥ 12 years old; * Complying with the requirement of the study protocol;
Exclusion criteria
* Prior vaccination with pneumococcal vaccine; * History of bacterial pneumonia within 3 years prior to this study; * Pregnant, breast feeding, or women expected to conceive within 60 days after vaccination; * History of allergy to any vaccine or vaccine ingredient; * Receipt of any of the following products: 1. Blood product within 3 months prior to study entry; 2. Any live attenuated vaccine within 28 days prior to study entry; 3. Any subunit vaccine or inactivated vaccine within 14 days prior to study entry; 4. Any immunosuppressant within 6 month prior to study entry; * Congenital malformation, developmental disorders, serious chronic diseases, autoimmune disease, immunodeficiency, serious cardiovascular disease, diabetes, hypertension that cannot be stabilized by medication, liver or kidney disease, or malignant tumor; * History of asthma, thyroidectomy, angioneurotic edema, severe nervous system disease or mental illness; without spleen or splenectomy; diagnosed coagulation function abnormal (e.g., coagulation factor deficiency, coagulation disorder, or platelet abnormalities), or obvious bruising or coagulation disorders; * Acute disease or acute stage of chronic disease within 7 days prior to study entry; * Axillaty temperature \> 37.0 °C; * Any other factor that in the opinion of the investigator suggesting the volunteer is unsuitable for this study; * Participants with the following conditions from day 0 - 28 would be included in the full analysis set (FAS), but would be excluded from the per protocol set (PPS): 1. Receipt of any other investigational or unregistered product (drug or vaccine); 2. Receipt of immunosuppressant (corticosteroid dosage that equivalent to or above 0.5 mg prednisone/kg weight/day) for \> 14 days, except for inhalant or locally administrated corticosteroid; 3. Receipt of immunoglobulin and/or blood product; 4. Newly diagnosed autoimmune disease or immunodeficiency (e.g., HIV infection);
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The seroconversion rates (SCR) of each of the 23 pneumococcal serotypes | 28 days | For each serotype, the SCR is the percentage of participants with the increase of relative antibody concentration ≥ 2 folds after vaccination. The relative antibody concentrations were measured using Enzyme Linked Immunosorbent Assay (ELISA). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The incidences of adverse events (AEs) | 28 days | After each injection, a 30-minute safety observation was conducted immediately. The body temperature, occurrence of solicited local and general AEs on day 0 - 7 were reported. Unsolicited AEs occurred during day 0 - 28 were also reported. Each AE case was reviewed by the investigator to determine whether or not it was an adverse reaction (related to the vaccination). |
| The increases of relative antibody concentration against each of the 23 pneumococcal serotypes | 28 days | The relative antibody concentrations in the pre- and post-immunization serum samples were measured using ELISA. |
Countries
China